WilloTse hat geschrieben:@DonQ: die Zahlen sortiere ich morgen.
Das hier:
DonQuixote hat geschrieben:Ich lese das allerdings so, dass man zunächst 43.093 zufällig ausgewählte Personen befragte und dann bei 4.422 eine Alkoholabhängigkeit feststellte.
ist korrekt, danke für's Aufpassen!
Dass Du aber auch immer alles so genau wissen willst. Erbsenzähler.
Ich habe mich hierdurch vom Kurs abbringen lassen:
The analysis is based on data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a project of NIAAA. Based on a representative sample of 43,000 U.S. adults aged 18 years and older, the NESARC is the largest survey ever conducted of the co-occurrence of alcohol and drug use disorders and related psychiatric conditions. The NESARC defines alcohol use disorders and their remission according to the most recent clinical criteria established by the American Psychiatric Association.
Quelle
Im Originalartikel aus der "Addiction" heißt es aber ganz klar:
(Hervorhebung von mir)Addiction hat geschrieben:A subset of the NESARC sample (total n = 43,093), consisting of 4,422 U.S. adults age 18 and older classified with PPY DSM–IV alcohol dependence, were evaluated (...) ,
Die weiteren Ergebnisse, die ich oben zitiert habe, beziehen sich also auf diese Untergruppe von 4.422 Teilnehmern.
DonQuixote hat geschrieben:Trotzdem erstaunt mich die hohe Quote von 10 Prozent doch sehr.
Ja, mich auch. Darauf habe ich auch spontan keine Antwort. Vielleicht eine Erklärung:
Addiction hat geschrieben:data were collected in personal interviews conducted with one randomly selected adult in each sample household.
Alle nicht erwachsenen fallen also per definitionem 'raus, zudem wurden "Haushalte" zur Befragung herangezogen, also wird die Bevölkerungsgruppe Ü70 auch unterrepräsentiert sein. Für Deutschland wäre das eine Grundgesamtheit von rund 54 Millionen Menschen zwischen 20 und 70 Jahren.
Quelle
Dann fällt die Definition für "Dependence" relativ scharf aus und die Grauzone wegen der direkten Befragung weg, dann passt das.
Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC: APA, 2000. hat geschrieben:ALCOHOL ABUSE
(A) A maladaptive pattern of drinking, leading to clinically significant impairment or distress, as manifested by at least one of the following occurring within a 12-month period:
-Recurrent use of alcohol resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to alcohol use; alcohol-related absences, suspensions, or expulsions from school; neglect of children or household)
-Recurrent alcohol use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by alcohol use)
-Recurrent alcohol-related legal problems (e.g., arrests for alcohol-related disorderly conduct)
-Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol (e.g., arguments with spouse about consequences of intoxication).
(B) Never met criteria for alcohol dependence.
ALCOHOL DEPENDENCE
(A) A maladaptive pattern of drinking, leading to clinically significant impairment or distress, as manifested by three or more of the following occurring at any time in the same 12-month period:
-Need for markedly increased amounts of alcohol to achieve intoxication or desired effect; or markedly diminished effect with continued use of the same amount of alcohol
-The characteristic withdrawal syndrome for alcohol; or drinking (or using a closely related substance) to relieve or avoid withdrawal symptoms
-Drinking in larger amounts or over a longer period than intended.
-Persistent desire or one or more unsuccessful efforts to cut down or control drinking
-Important social, occupational, or recreational activities given up or reduced because of drinking
-A great deal of time spent in activities necessary to obtain, to use, or to recover from the effects of drinking
-Continued drinking despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to be caused or exacerbated by drinking.
(B) No duration criterion separately specified, but several dependence criteria must occur repeatedly as specified by duration qualifiers associated with criteria (e.g., “persistent,” “continued”).